穴位埋线疗法预防甲状腺全麻术后恶心呕吐的临床研究

Abstract
Figure/Table
References (21)
Related Citation (0)

Download: PDF (562 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the efficacy and safety of catgut implantation at Neiguan and Zusanli acupoint on prevention of postoperative nausea and vomiting(PONV) after general anesthesia of thyroid gland, so as to provide evidence for clinical treatment. Methods From July 2015 to July 2016, 80 patients underwent elective thyroid surgery in Wenzhou Traditional Chinese Medical Hospital, Affiliated to Zhejiang Chinese Medical University were selected and divided into the drug group (group C) and the catgut implantation point+drug group (group D) according to the random number table, with 40 cases in each group. Group C was treated with Azasetron combined with dexamethasone and group D was treated with catgut implantation therapy at Neiguan and Zusanli acupoint on the bases of drug group. The incidences of PONV at the time of acute and prolonged periods were compared between the two groups. Results The incidences of acute and prolonged periods in the group D were lower than those of group C, with statistically signicant differences (P < 0.05). Conclusion Catgut implantation at Neiguan and Zusanli acupoint can effectively prevent PONV after general anesthesia. It is worthy of clinical promotion and application.

Key words： Catgut implantation at acupoints Tyroid surgery Postoperative nausea and vomiting

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIN Jianghai XU Shaoyi NI Jianwu ZHAN Jing

Cite this article:

LIN Jianghai XU Shaoyi NI Jianwu ZHAN Jing. Clinical study on the postoperative nausea and vomiting prevention of catgut implantation therapy in patients after general anesthesia of thyroid gland[J]. 中国医药导报, 2018, 15(2): 104-107.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I2/104

[1] 吕德生，邵东华.手术前后应用5-羟色胺3受体拮抗剂对全麻术后恶心和呕吐预防效果的Meta分析[J].江苏大学学报：医学版，2011，21（3）：269-272.
[2] 秦希希，徐咏梅.术后恶心呕吐防治的临床研究进展[J].上海医学，2012，15（6）：553-556.
[3] Ryu JH，Chang JE，Kim HR，et al. Ramosetron vs. ramosetron plus dexamethasone for the prevention of postoperative nausea and vomiting（PONY）after laparoseopie cholecysteetomy：prospective，randomized，and double-blind study [J]. Int J Surg，2013，11（2）：183-187.
[4] Kim SH，Shin YS，YJ OH，et al. Risk Assessment of Postoperative Nausea and Vomiting in the Intravenous Patient-Controlled Analgesia Environment：Predictive Values of the Apfel's Simplified Risk Score for Identification of High-Risk Patients [J]. Yonsei Med J，2013，54（5）：1273-1281.
[5] Gan TJ. Postoperative nausea and vomiting：can it be eliminated [J]. JAMA，2002，10（287）：1233-1236.
[6] Ryu JH，Jeon YT，Hwang JW，et al. Intravenous，oral，the combination of intravenous and oral ramosetron for the prevention of nausea and vomiting after laparoscopic cholecystectomy：arandomized，double-blind，controlledtrial [J]. Clin Ther，2011，33（9）：1162-1172.
[7] Palazzo M，Evans R. Logistic regression analysis of fixed patient factors for postoperative sickness：a model for risk assessment [J].Br J Anaesth 1993，2（70）：135-140.
[8] Ewalenko P，Janny S，Dejonckheere M，et al. Antiemtic effect of subhypontic doses of propofol after thyroidectomy [J]. Br J Anaesth，1996，77（22）：463-467.
[9] Sonner JM，Hynson JM，Clark O，et al. Nause and vomiting following thyroid and parathyroid surgery [J]. Clin Anesth，1997，9（3）：398-402
[10] 许运，陈力.术后恶心和呕吐的防治研究进展[J].国际外科学杂志，2006，33（2）：157-160.
[11] 赵诚，房世保.颈过伸体位引起椎动脉血流动力学变化与甲状腺术后恶心呕吐在综合征相关性分析[J].中国超声医学杂志，2010，26（7）：607.
[12] Stadle M. Bardian F，Seidal，et al. Comparison of predictive models for postoperative nasea and vomiting [J]. Br J Anaesth，2002，88（2）：234-240.
[13] 韩叶芬，胡艳宁，赖丽娟，等.穴位按摩联合艾灸减轻妇科腹腔镜术后患者恶心呕吐的观察[J].护理管理杂志，2010，23（8）：589-590.
[14] 周小叶.穴位按摩联合艾灸护理在妇科腹腔镜术恶心呕吐患者中的应用[J].临床医学工程，2014，15（6）：791-792.
[15] 陈木娇，徐雪娣，谢艳玲.穴位推拿按摩缓解术后镇痛患者恶心呕吐的效果观察[J].中国实用医药，2014，20（31）：238-239.
[16] 韦立富，潘小霞，刘兵，等.朱琏针灸临床特色与经验[J].中国针灸，2015，35（1）：94-97.
[17] 郑小兰，陈陵，王洪涛，等.不同时机针刺治疗对脊柱手术患者免疫功能及术后恶心呕吐的影响[J].广东医学，2015，36（20）：321-324.
[18] 任树森.中医穴位埋线疗法[M].北京：中国中医药出版社，2011.
[19] 周愚，王蔚，黄宏辉，等.自控经皮穴位电刺激对妇科腹腔镜术后恶心呕吐的影响[J].临床麻醉学杂志，2014， 30（6）：592-594.
[20] Ertas G，Bengi SE，Kaya C，et al. Efects of P6 acustimulation with the relief band on postoperative nausea and vomiting in patients undergoing gynecological laparoscopy [J]. Holist Nurs Pract，2015，29（1）：6-12.
[21] Lee S，Lee MS，Choi DH，et al.Electroacupuncture on PC6 prevents opioid-induced nausea and vomiting after laparoscopic surgery [J]. Chin J Integr Med，2013，19（4）：277-281.